Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.99 / $6,423.00 / $17,538.00	Facility		$322.99	$6,423.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.78 / $295.76 / $865.07	Professional		$116.78	$295.76	$865.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,718.00 / $9,381.00	Facility		$1,787.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.21 / $199.59 / $440.76	Professional		$133.21	$199.59	$440.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,238.60	Facility		$66.00	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $243.36 / $504.76	Professional		$130.38	$243.36	$504.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.46 / $981.46 / $2,312.23	Facility		$830.46	$981.46	$2,312.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $294.39 / $760.36	Professional		$130.66	$294.39	$760.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.66 / $170.56 / $500.51	Professional		$63.66	$170.56	$500.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $309.52 / $565.62	Professional		$137.38	$309.52	$565.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $888.72 / $911.64 / $26,542.00	Facility		$888.72	$911.64	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,575.00 / $2,133.04 / $2,507.55	Professional		$1,575.00	$2,133.04	$2,507.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $248.08 / $486.41	Facility		$132.63	$248.08	$486.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.38 / $305.75 / $747.53	Professional		$132.38	$305.75	$747.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $408.41 / $408.41 / $1,025.10	Professional		$408.41	$408.41	$1,025.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $135.97 / $428.04	Professional		$80.28	$135.97	$428.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,084.96 / $4,213.00 / $10,979.00	Facility		$2,084.96	$4,213.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.30 / $360.48 / $1,084.08	Professional		$231.30	$360.48	$1,084.08